| NPI | 1336306620 |
|---|---|
| Doing Business As | 5 STAR MEDICAL SUPPLY COMPANY |
| Entity Type | Organization |
| Authorized Contact | TARQUEENA JOHNSON Managing Partner 678-683-3005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: GA 123456) |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2008-05-22 |